Organization
PTL PEDIATRIC DAYCARE CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALLEN CLARK (ADMINISTRATOR)
(530) 891-0657
Entity
Organization
Contact information
Practice address
1890 BEDFORD DR, CHICO, CA 95928-7352
(530) 343-8344
(530) 343-6683
Mailing address
PO BOX 3726, CHICO, CA 95927-3726
(530) 891-0657
(530) 891-8853
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
550000327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000327
CA MEDI-CAL
CA
Enumeration date
02/09/2011
Last updated
02/09/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up